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Individual

KEITH R VALENTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4740 NELSON RD STE 110, LAKE CHARLES, LA 70605-5383
(512) 586-6250
Mailing address
4740 NELSON RD STE 110, LAKE CHARLES, LA 70605-5383
(512) 586-6250

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
07/07/2021
Last updated
07/07/2021
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